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OSCAR SOTELO M.D.
NPI 1821144981
Dermatology in Mcallen, TX

Active since January 25, 2007PECOS EnrolledAccepts Medicare Assignment
7.5/100
CMS Quality Rating
7000 N 10TH ST STE C1, MCALLEN, TX 78504(956) 682-1591(956) 682-1592 Get Directions Write a Review

NPPES record last updated: January 6, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 6, 2026, Oct 5, 2020 (2 updates tracked since 2020).

About Oscar Sotelo M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OSCAR SOTELO M.D. (NPI 1821144981) is an individual dermatology provider in Mcallen, Texas, licensed in Texas (D5212) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, maintains a secondary practice location in Mcallen, and is a graduate of University Of Texas Medical Branch At Galveston (1968).

NPPES Registry Identity

NPI1821144981
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameOSCAR SOTELOCredential: M.D.
Location Address7000 N 10TH ST STE C1Mcallen, TX 78504-2266
Mailing Address7012 N 10th St Ste 40Mcallen, TX 78504-6611 · (956) 682-1591 · Fax (956) 682-1592
Phone(956) 682-1591
Fax(956) 682-1592
Sole ProprietorYes
Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 1968
Enumeration DateJanuary 25, 2007
Last NPPES UpdateJanuary 6, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 6, 2026
✔ NPI 1821144981 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in TX · D5212
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Also ListedSpecialistTaxonomy 174400000X · License D-5212 (TX)
7000 N 10TH ST STE C1, Mcallen, TX 78504
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Secondary Practice Location 1

Location 17012 N 10TH ST, STE 40McAllen, TX 78504-3397 · Phone (956) 682-1591 · Fax (956) 682-1592

Other Identifiers 4

Medicaid1155491-03TX
Other8CQ495TX · Bcbs
Other071900037TX · Railroad Medicare
Medicaid1155491-04TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Oscar Sotelo M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7810176583
PECOS Enrollment IDI20110126001177
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Oscar Sotelo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Oscar Sotelo MD PA
Same address
Specialist
7000 N 10TH ST STE C1
Mcallen, TX 78504
  • Reassigned Medicare billing, Texas enrollment
  • 3 clinicians in this Medicare group
NPI 1700196292 (956) 682-1591

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
515 services80 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
324 services221 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
171 services123 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
135 services103 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
133 services118 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
89 services81 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78504 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

7.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality15
Improvement Activities0

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SARAH SUEJIN KIM
Physician Assistant
7000 N 10TH ST STE C1
MCALLEN, TX 78504
Hidalgo County (956) 682-1591
OSCAR SOTELO MD PA
Specialist
7000 N 10TH ST STE C1
MCALLEN, TX 78504
Hidalgo County (956) 682-1591

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Oscar Sotelo's NPI number?

The NPI number for Oscar Sotelo is 1821144981. It was assigned to this individual provider in the NPPES registry on January 25, 2007.

Where is Oscar Sotelo located?

Oscar Sotelo practices at 7000 N 10th St Ste C1, Mcallen, TX 78504. The listed phone number is (956) 682-1591.

What is Oscar Sotelo's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Oscar Sotelo enrolled in Medicare?

Yes. Oscar Sotelo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Oscar Sotelo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Oscar Sotelo reassigns Medicare benefits to Oscar Sotelo MD PA (Mcallen, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Oscar Sotelo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Oscar Sotelo accept?

Health plans from Blue Cross and Blue Shield of Texas list Oscar Sotelo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Oscar Sotelo was last updated on January 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.